Individual provider Active NPI

Mandeep Singh Othee, M.D.

  • Pain Medicine Physician
  • Odessa, TX
National Provider Identifier
1295850436
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
P3560 Issued in TX
Practice address
540 W 5TH St Ste 340
Odessa, TX 79761-5036
Phone
(432) 640-3774
Fax
(432) 640-4774
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P3560 TX
Pain Medicine Physician 208VP0000X P3560 TX Primary

Addresses

Primary practice location

540 W 5TH St Ste 340
Odessa, TX 79761-5036

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-3774

Other identifiers 1

IdentifierTypeStateIssuer
305901601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120913000127 TX Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 6103899042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCH Professional CareGroup PAC ID 1658358635, 51 clinicians

Practice addresses (Care Compare)

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2408

Hospital & facility affiliations

  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132
  • Reeves Regional Health Hospital, Pecos, TX, CCN 451377

Merit-based Incentive Payment System (MIPS)

Final score
79.78 of 100Reported as group
Quality
60.9
Promoting interoperability
100
Improvement activities
40
Cost
66.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Professional Care Pain Medicine CurrentSince Sep 1, 2012 Accepting new patients
Western Reserve Professional Group Inc Physical Medicine & Rehabilitation Past Accepting new patients

Locations

540 W 5th St
Ste 340
Odessa, TX 79761
Phone (432) 335-0210

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 N Washington Ave
Ste 400
Odessa, TX 79761
Phone (432) 337-6617

519 N Lincoln Ave
Odessa, TX 79761
Phone (432) 640-6446

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1295850436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-3774",
            "fax_number": "432-640-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 340",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615036",
            "telephone_number": "432-640-3774",
            "fax_number": "432-640-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTHEE",
        "first_name": "MANDEEP",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P3560",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "P3560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305901601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.